Nicolette M Jones, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5415 | |
(740) 446-5958 |
Full Name | Nicolette M Jones |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 32 Years |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114974110 | NPI | - | NPPES |
000000185208 | Other | OH | UNISON MEDICAID |
2065465 | Other | OH | MOLINA MEDICAID |
001714105 | Other | MOUNTAIN STATE BCBS | |
0130533000 | Medicaid | WV | |
2065465 | Medicaid | OH | |
340015105 | Other | RR MEDICARE | |
000000007133 | Other | ANTHEM BCBS | |
310917085125 | Other | OH | CARESOURCE MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 20360 (West Virginia) | Secondary |
208800000X | Urology | 35.074405 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Holzer Medical Center Jackson | Jackson, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Nicolette M Jones, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5415 | Nicolette M Jones, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5415 |
Mel P Simon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 256 Pinecrest Drive, Gallipolis, OH 45631 Phone: 740-446-0021 Fax: 740-446-4978 | |
Dr. Jonathan E Lackner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5958 |